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O presente relatório surge como um documento representativo do meu percurso e aprendizagens alcançadas, na procura de um saber especializado. Inseridos no Mestrado em Enfermagem Médico-Cirúrgica, na área da pessoa em situação crítica, os estágios descritos realizaram-se no serviço de urgência e na comissão de controlo de infeção, de uma unidade local de saúde do distrito do Porto. Na atualidade, os cuidados de saúde têm sido diariamente desafiados pela pandemia COVID-19. Os efeitos pandémicos foram efetivamente desastrosos e de difícil superação. Não só pelo seu impacto orgânico, traduzido pelas elevadas taxas de transmissibilidade vírica e consequente morbimortalidade, como também pelo seu impacto social e financeiro que, direta e indiretamente, afetaram, afetam e afetarão o sistema económico internacional. As competências do enfermeiro especialista em Enfermagem Médico-Cirúrgica nunca foram tão impactantes, portanto, como no último ano. Os domínios da gestão de cuidados, da prevenção e controlo de infeção, da segurança e preservação da qualidade e da comunicação segura e consciente, fundamentalmente no doente crítico, foram, indubitavelmente, as aprendizagens mais relevantes deste percurso, quer como prioridades de intervenção, quer na tomada de decisão com juízo crítico. As noções de segurança exploradas, para o doente e profissional de saúde, na construção deste relatório, demonstraram a sua dimensão grotesca na prestação de cuidados. O construto de uma cultura de segurança com maturidade e responsabilidade deverá estar alicerçada no compromisso de um padrão de competências, atitudes e comportamentos (individuais e em grupo), envolvido nos planos de cuidados e processo de enfermagem. Cabe, assim, ao enfermeiro especialista liderar as equipas, com brio e mestria profissionais, não pela evidência do saber fazer, mas agindo como um modelo na procura constante pelo saber saber. A pandemia COVID-19 veio descortinar uma nova noção de normalidade, uma nova realidade de exigências. O contexto pandémico do séc. XXI veio mostrar-nos que toda e qualquer realidade é mutável. O cenário que atualmente vivemos e tão bem conhecemos surgiu inesperadamente, mas que saibamos dele extrair as melhores e mais sensatas lições de vida.
This report is a representative document of my journey and learning experiences, in the search for specialized knowledge. As part of the Master's in Medical-Surgical Nursing on critical care ill, the internships described above took place in the emergency department and in the infection control committee of a local health unit in Oporto’s district. Currently, health care has been daily challenged by the COVID-19 pandemic. The pandemic effects were indeed disastrous and difficult to overcome. Not only due to its organic impact, translated by the high rates of viral transmissibility and consequent morbidity and mortality, but also due to its social and financial impact which, directly and indirectly, has affected, affects and will affect the international economic system. The competences of the specialist nurse in Medical-Surgical Nursing have never been so impactful, therefore, as in the last year. The fields of care management, infection prevention and control, safety and quality preservation, and safe and conscious communication, especially in the critically ill patient, were undoubtedly the most relevant learning experiences of this course, both as priorities for intervention and in decision-making with critical judgment. The notions of safety explored, for the patient and health professional, in the construction of this report, demonstrated its grotesque dimension in the provision of care. The construction of a safety culture with maturity and responsibility should be based on the commitment of a pattern of skills, attitudes and behaviors (individual and group), involved in the care plans and nursing process. Thus, it is up to the nurse specialist to lead teams with professional pride and mastery, not by evidence of knowing how to do, but by acting as a role model in the constant search for knowing how to know. The COVID-19 pandemic has unveiled a new notion of normality, a new reality of demands. The pandemic context of the 21st century has shown us that each and every reality is changeable. The scenario we currently live and know so well came about unexpectedly, but let's learn from it the best and most sensible life lessons.
This report is a representative document of my journey and learning experiences, in the search for specialized knowledge. As part of the Master's in Medical-Surgical Nursing on critical care ill, the internships described above took place in the emergency department and in the infection control committee of a local health unit in Oporto’s district. Currently, health care has been daily challenged by the COVID-19 pandemic. The pandemic effects were indeed disastrous and difficult to overcome. Not only due to its organic impact, translated by the high rates of viral transmissibility and consequent morbidity and mortality, but also due to its social and financial impact which, directly and indirectly, has affected, affects and will affect the international economic system. The competences of the specialist nurse in Medical-Surgical Nursing have never been so impactful, therefore, as in the last year. The fields of care management, infection prevention and control, safety and quality preservation, and safe and conscious communication, especially in the critically ill patient, were undoubtedly the most relevant learning experiences of this course, both as priorities for intervention and in decision-making with critical judgment. The notions of safety explored, for the patient and health professional, in the construction of this report, demonstrated its grotesque dimension in the provision of care. The construction of a safety culture with maturity and responsibility should be based on the commitment of a pattern of skills, attitudes and behaviors (individual and group), involved in the care plans and nursing process. Thus, it is up to the nurse specialist to lead teams with professional pride and mastery, not by evidence of knowing how to do, but by acting as a role model in the constant search for knowing how to know. The COVID-19 pandemic has unveiled a new notion of normality, a new reality of demands. The pandemic context of the 21st century has shown us that each and every reality is changeable. The scenario we currently live and know so well came about unexpectedly, but let's learn from it the best and most sensible life lessons.
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Pandemia COVID-19 Segurança do doente Controlo de infeção Cuidados de enfermagem COVID-19 pandemic Patient safety Infection control Nursing care